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(� N�1 O (� (�A� Environmental Health Department <br /> V <br /> COUNTY- <br /> 7. Delivery Limitation: Initial if you agree to abide by the following: N <br /> I understand that I may accept orders and payments via the internet, mail or phone. However, all "Class A"and <br /> "Class B" CFO products must be delivered directl (in person)to the customer.The CFO products may not be <br /> delivered via the United States Postal Service, UPS, FedEx, or using any other indirect delivery method as <br /> deliveries are regulated by, and subject to, CDPH registration and state and federal requirements. <br /> 8. Owner's Statement: <br /> I, N o YMA agree to grant access to the local health department to <br /> conduct an inspection of my cottage food operation (mark one) <br /> "Class A": In the event of a consumer ❑ "Class B": For regular annual facility inspections <br /> complaint or reported food-borne illness and in the event of a consumer complaint or <br /> food-borne illness <br /> I, N�rmn W�AG1 —, agree to notify the San Joaquin County Environmental <br /> Health Department prior to modifying my food list, type of operation, and/or method of selling, distributing, or <br /> otherwise providing my CFO products to the consumer or retailers, regardless of whether the product is sold, <br /> consigned, or given away. <br /> NUlm glTrkw N 0I'M 01 A rWCAV-M 01 I i� �2023 <br /> Owner's Signature Print Name Date <br /> 2or2 <br />